- Authors:
                            
- O. Orellana-Serradell
 - C. E. Poblete
 - C. Sanchez
 - E. A. Castellón
 - I. Gallegos
 - C. Huidobro
 - M. N. Llanos
 - H. R. Contreras
 
 - Corresponding author:
                             
- H. R. Contreras [ hcontrer@med.uchile.cl ]
 
 - View Affiliations
 - 
       Published online on: Wednesday, January 21, 2015
 - DOI: 10.3892/or.2015.3746
 
Abstract
In the early stages, prostate cancer is androgen‑ dependent; 
therefore, medical castration has shown significant results during the 
initial stages of this pathology. Despite this early effect, advanced 
prostate cancer is resilient to such treatment. Recent evidence shows 
that derivatives of Cannabis sativa and its analogs may exert a 
protective effect against different types of oncologic pathologies. The 
purpose of the present study was to detect the presence of cannabinoid 
receptors (CB1 and CB2) on cancer cells with a prostatic origin and to 
evaluate the effect of the in vitro use of synthetic analogs. In order 
to do this, we used a commercial cell line and primary cultures derived 
from prostate cancer and benign prostatic hyperplasia. The presence of 
the CB1 and CB2 receptors was determined by immunohistochemistry where 
we showed a higher expression of these receptors in later stages of the 
disease (samples with a high Gleason score). Later, treatments were 
conducted using anandamide, 2-arachidonoyl glycerol and a synthetic 
analog of anandamide, methanandamide. Using the MTT assay, we proved 
that the treatments produced a cell growth inhibitory effect on all the 
different prostate cancer cultures. This effect was demonstrated to be 
dose-dependent. The use of a specific CB1 receptor blocker (SR141716) 
confirmed that this effect was produced primarily from the activation of
 the CB1 receptor. In order to understand the MTT assay results, we 
determined cell cycle distribution by flow cytometry, which showed no 
variation at the different cell cycle stages in all the cultures after 
treatment. Treatment with endocannabinoids resulted in an increase in 
the percentage of apoptotic cells as determined by Annexin V assays and 
caused an increase in the levels of activated caspase-3 and a reduction 
in the levels of Bcl-2 confirming that the reduction in cell viability 
noted in the MTT assay was caused by the activation of the apoptotic 
pathway. Finally, we observed that endocannabinoid treatment activated 
the Erk pathway and at the same time, produced a decrease in the 
activation levels of the Akt pathway. Based on these results, we suggest
 that endocannabinoids may be a beneficial option for the treatment of 
prostate cancer that has become nonresponsive to common therapies.